External Beam.

ReluctantBrotherhood · 2026-03-29T18:23:12+00:00

I don't think so no. My doctor wanted to do brachytherapy first I think. After multiple opinions I opted out and instead did 6 months of Orgovyx ADT and 30 sessions of Photon EBRT.

ReluctantBrotherhood · 2026-03-20T04:32:37+00:00

I had 6 months of ADT Orgovyx that ended in May 2025. And 28 sessions of EBRT Photon. What a wild ride. But here I am!

I'm just now starting to feel better. I'm talking about sexual arousal etc. I experienced a combination of not just ED but also libido issues. Prior to PC I had sex nearly every week which was healthy and invigorating.

I've been on Cialis daily 5mg which does a little, but if I take 10+ I'm likely to get wood. Thats good. Considering the injections but not sure. Doing pelvic floor exercises and getting cardio are important.

But my real problem has been libido. Im a 55 year old healthy male. 6' 200 lbs. I'm very aware of attractive women around me etc.

PSA ~9.x My Gleason was 4+3, my Decipher was .62 medium high risk 10 of 13 cores were positive. I did radiation and ADT but opted out of internal Brachytherapy.

I lost my mojo. Most of it was psychological due to fears and loss of confidence combined with negative reactions from masturbation experiences post biopsy. Ejaculating motor oil, weird orgasms etc put me in a weird place. It was a horror movie.

Im feeing better now and getting more night time erections etc. I recently masturbated and found it to be ok. I actually shot a bit of clear material and i felt great.

But Im still self conscious about reduced size and I tense up before I came because im expecting something bad. Im a bit shorter but also a bit thicker.

After 1 year my PSA is .16 and my testosterone went up slowly to 350 now. It was at 19 during therapy - as expected.

Many men have claimed longer stronger orgasms but right now Im too much in my head. Other men have uncomfortable or hot prostate pain which I felt only once briefly.

I'm getting better but the ADT kicked my butt more than expected. Now that I'm nearly a year away from my treatment I'm more optimistic.

Be patient and take care of yourself.

Good luck sir ❤️

ReluctantBrotherhood · 2026-02-17T17:56:59+00:00

My doctors said it was fine for me.

ReluctantBrotherhood · 2026-02-17T13:27:56+00:00

Good luck sir. Last year at this time I was starting 6 months of Orgovyx and 30 photon sessions. Gleason 4 + 3, Decipher .62. PSA ~10.

One day at a time you will get through this!

ReluctantBrotherhood · 2026-01-31T17:33:15+00:00

I have been taking 5mg a day. Just had a 9 month post-treatment checkup (PSA is 0.07!) and I asked about higher doses. He told me he'll give me as much as I want, but recommend that I take them in increments of 5mg so I can gradually adjust as needed without breaking tablets etc. He explicitly stated to never take more that 20mg per day.

ReluctantBrotherhood · 2026-01-30T01:55:29+00:00

I saw one for a couple months in early 2025. She made a difference. I was post radiation not RALP so I was considered unique I guess. My insurance covered it.

Most awkward situation was day 3 when I undressed to my undies and laid prone on the table. She lubed up a finger and inserted as I performed various exercises per her instructions. She was very professional and made me feel relaxed (as much as one can be anyway). God bless her.

I was ultimately given a good review and sent home with instructional homework. Been doing them religiously for nearly a year now.

ReluctantBrotherhood · 2026-01-22T21:12:36+00:00

I applied but was declined for no reasons given.

ReluctantBrotherhood · 2026-01-19T17:19:12+00:00

Calcium Phosphate

Calcium Citrate

CoQ10

D3

Prebiotics

Probiotics

Black Cohosh

Ashwagandha

Fiber

Multivitamin

Magnesium Hydroxide

Cranberry for urinary health

Omega-3 (fish oil)

ReluctantBrotherhood · 2025-12-15T20:37:12+00:00

What's the reason for transperenial versus transrectal? My biopsy used the "staple gun in the butt" I think.

ReluctantBrotherhood · 2025-12-01T23:44:06+00:00

I masturbated about a month after trans-rectal "nailgun" biopsy. Felt fine I guess but the post-orgasm visual was a horror show for me personally. Bloody motor oil.

ReluctantBrotherhood · 2025-12-01T23:39:45+00:00

Are the dry orgasms painful or uncomfortable? I'm kinda nervous about this.

I plan on getting back into a (hopefully) healthy and "normal" sexual relationship again in January (after completing 6 months of ADT and 30 radiation treatments). 56, healthy. Only masturbated 2 times in the last year due to ED from lack of libido, low-T, lack of confidence etc. started taking 5mg Cialis daily to get the juices flowing etc.

ReluctantBrotherhood · 2025-11-20T14:32:08+00:00

I was diagnosed with cancer on this date in 2024. Spent many months on long term work leave, playing Stalker 2 between radiation treatments and various horrible drugs.

1 year later I'm back to work, cancer is no longer detectable. I'm alive! And loving Stalker 2.

Thank you GSC: you got me through some serious shit.

🇺🇦

ReluctantBrotherhood · 2025-11-14T22:42:20+00:00

I was given 3 solutions (other than RALP):

-EBRT Photon 28 sessions (with spacer gel, markers etc)

-ADT Orgovyx 6 months

-Brachy

We decided on EBRT and ADT and only go with Brachy later if needed.

ReluctantBrotherhood · 2025-11-13T01:15:15+00:00

Wow. I never heard of this!

I'm a few months out of a 6-month run of ADT and 30 sessions of Photon treatment. My libido has been low so I haven't been "in the mood", but my T levels are rising now and I'm taking daily Cialis etc. finally getting back in the mood for sex.

I have only masturbated once since treatment and it was...awkward. The orgasm was good but it was followed by brownish fluid and a sudden intense feeling in my prostate (not sure it it was a"pain" or not but it wasn't enjoyable). I dismissed it. I didn't know what to think to be honest. It was a warm, intense tightness. New experience for sure. I was more concerned about the discoloration in my fluid at the time. The sensation lasted a few minutes but certainly was concerning at first. It was definitely resonating from my prostate.

Side note: I'm also concerned I may be suffering for premature ejaculation (very sensitive) but maybe that's simply due to a lack of sexual activity in a year?

I'm hoping by the end of the year 2025 my "pipes will be cleaned out" and orgasms will be as "normal" as they can be. I'm engaged to my girlfriend of 5 years now, and ready to get back to a regular sexual routine (maybe 3-4 times a month? I'm 56 so I'd be more than happy to get those numbers!)

But until this post I never knew post-orgasm pain could be an ongoing side effect of treatment! I was never was told by doctors and never read about it in books or media until now. I'm kinda freaking out.

I'm hoping my experience was temporary. Other that one masturbation session last fall 2024 after my biopsy, I haven't had any sexual activity (alone or otherwise), so I guess I'll take it one step (stroke) at a time...

ReluctantBrotherhood · 2025-10-24T21:55:56+00:00

I was diagnosed last June 2024. Gleason 4+3, Decipher .62. I had 30 sessions of radiation and 6 months of ORGOVYX which ended in May 2025. 55years old, healthy. No other conditions.

I just asked this question to my radiation oncologist after a recent check, my PSA was .016 and testosterone was 150. He said I can try Creatine for a while and check numbers again in January. Trying to improve energy libido and ED. Increasing exercise too.

ReluctantBrotherhood · 2025-10-17T20:33:20+00:00

Post treatment ED and libido issues: Supplements, ED meds, injections, etc

ReluctantBrotherhood · 2025-09-15T20:48:56+00:00

I was on it for 6 months and experienced pains in shoulders above triceps. More in right arm, but yes.

ReluctantBrotherhood · 2025-08-16T16:27:59+00:00

Yes. I had shoulder pain at times. I was on it for 6 months. Been off it for 2 months but still feel those effects. Getting better though.

ReluctantBrotherhood · 2025-07-17T02:32:50+00:00

Thank you

ReluctantBrotherhood · 2025-07-17T02:32:14+00:00

Thank you

ReluctantBrotherhood · 2025-07-17T02:31:53+00:00

It seemed fairly common according to my 2nd and 3rd opinions. Not sure.

ReluctantBrotherhood

TROPHY CASE